Clinical Gastroenterology Vol.22 No.6(2-3)

Theme Advances in Diagnosis and Endoscopic Treatment for Pancreatic and Biliary Lesion
Title Extracorporeal Shockwave Lithotripsy and Endoscopic Therapy for Pancreatic Stones
Publish Date 2007/06
Author Takeshi Ishihara Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
Author Taketo Yamaguchi Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
Author Hiroshi Tadenuma Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
Author Katsuyuki Tawada Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
Author Masato Matuyama Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
Author Osamu Yokosuka Department of Medicine and Clinical Oncology, Graduate School of Medicine, Chiba University
[ Summary ] A total of 117 patients with pancreatic stones underwent ESWL and endoscopic therapy in our institute. Immediate pain relief was achieved in 97 % of cases and complete removal of stones was achieved in 56 %. During long term follow up, pain relief was maintained in 70 % of the cases. Pain recurred more frequently in patients with incomplete removal than in those with complete removal (p<0.05). ESWL and endoscopic therapy for pancreatic stones proved to be effective for long term pain relief, especially for patients in whom pancreatic stones were removed completely during initial therapy.
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